Gynaecomastia correction: A review of our experience

Abstract

Introduction:Gynaecomastia is a common problem in the male population with a reported prevalence of up to 36%. Various treatment techniques have been described but none have gained universal acceptance. We reviewed all gynaecomastia patients operated on by one consultant over a 7-year period to assess the morbidity and complication rates associated with the procedure.Materials and Methods:Clinical notes and outpatient records of all patients who underwent gynaecomastia correction at University Hospital North Staffordshire between 01/10/2001 to 01/10/2009 were retrospectively reviewed. A modified version of the Breast Evaluation Questionnaire was used to assess patients satisfaction with the procedure.Results:Twenty-nine patients and a total of 53 breasts were operated on during the study period. Patients underwent either liposuction alone (6 breasts - 11.3%), excision alone (37 breasts - 69.8%) or both excision and liposuction (10 breasts - 18.9%). Twelve operated breasts (22.6%) experienced some form of complication. Minor complications included seroma (2 patients), superficial wound dehiscence (2 patients) and minor bleeding not requiring theatre (3 patients). Two patients developed haematomas requiring evacuation in theatre. No cases of wound infection, major wound dehiscence or revision surgery were encountered. Twenty-six patients (89.7%) returned the patient satisfaction questionnaire. Patients scored an average 4.12 with regards comfort of their chest in different settings, 3.98 with regards chest appearance in different settings, and 4.22 with regards satisfaction levels for themselves and their partner/family. Overall complication rate was 22.6%. Grade III patients experienced the highest complication rate (35.7%), followed by grade II (22.7%) and grade I (17.6%). Overall complication rates among the excision only group was the highest (29.8%) followed by the liposuction only group (16.7%) and the liposuction and excision group (10.0%). There were high satisfaction rates amongst both patients and surgeon. Eleven patients (37.9%) had their outcome classified as ‘excellent’ by the operating surgeon, 16 patients (55.2%) as ‘good’, 1 (3.4%) as ‘satisfactory’ and 1(3.4%) as ‘poor’.Conclusion:Gynaecomastia is a complex condition which poses a significant challenge to the plastic surgeon. Despite the possible complications our case series demonstrates that outcomes of operative correction can be favourable and yield high levels of satisfaction from both patient and surgeon.

A Case Report: Antiretroviral-Associated Bilateral Gynecomastia

“…It is characterized by breast hypertrophy and can occasionally occur How to cite: Sudarta EP & Heitingwati unilaterally 13,14,15 . The breast tissue expands due to an increase in the volume of ductal tissue, fat, or both 14,16 . Diagnosis can be determined by patient's history and physical examination 17 .…”

Liposuction Assisted Gynecomastia Surgery With Minimal Periareolar Incision: a Systematic Review

“…Gynecomastia is a common problem in male, characterized by enlargement of the breast, and can present bilaterally, and rarely unilateral [1][2][3]. The enlargement of breast tissue is caused by an increase in amount of ductal tissue, fat, and/or both [2,4]. Diagnosis can be determined by patient's history and physical examination.…”

A novel method to insert drain atraumatically after liposuction in gynaecomastia

“…It can be managed by direct excision, liposuction, combination of direct excision and liposuction. [ 1 ] According to the literature, the overall complication rate for gynaecomastia surgery is 15.5% with the highest rate in Grade 1 patients. [ 2 ] The reported complications are seroma, minor bleeding, skin dehiscence, wound infection and haematoma necessitating evacuation in operation theatre.…”